Organization
YELLOWSTONE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GAGNON (EXECUTIVE DIRECTOR)
(406) 237-5905
Entity
Organization
Contact information
Practice address
1144 N 28TH ST, BILLINGS, MT 59101-0110
(406) 237-5900
(406) 237-5910
Mailing address
PO BOX 31715, BILLINGS, MT 59107-1715
(406) 237-5900
(406) 237-5910
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9728
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351305
—
MT
05
—
1180258 00
—
MT
Enumeration date
06/10/2005
Last updated
10/08/2012
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